HESI EXIT NGN, HESI RN EXIT EXAM
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED &
ELABORATED) ACTUAL EXAM 2025
TEST
1️⃣ Assessing Pain
A patient presses the call bell requesting medication for a severe headache. To assess the quality
of the patient’s pain, which action should the nurse take?
A. Observe facial expressions
✅ B. Ask the patient to describe the pain
C. Determine pain intensity using a numeric scale
D. Palpate the area of pain
2️⃣ Removing PPE
When exiting a patient’s room, which PPE should the nurse remove first?
✅ A. Gloves
B. Gown
C. Goggles
D. Mask
3️⃣ SBAR Reporting — Confusion after Fall
An older patient has sudden confusion after a fall. The daughter provides a list of medications.
Which information should the nurse report first to the provider using SBAR?
✅ A. Increasing confusion of the patient
B. The list of home medications
C. The daughter’s concerns
D. The patient’s age and gender
1
,4️⃣ Insomnia Despite Exercise
A patient exercises regularly but still has difficulty falling asleep. Which action should the nurse
take?
✅ A. Ask the patient for a description of the exercise schedule being followed
B. Recommend melatonin
C. Refer to a sleep specialist
D. Suggest reducing exercise intensity
5️⃣ Guillain-Barre Discharge Teaching (Select All That Apply)
Two days prior to discharge, which actions should the nurse include when teaching a patient
recovering from Guillain-Barre syndrome and their spouse?
✅ A. Review safe transfer strategies
✅ B. Develop a nutritional plan
✅ C. Help identify community support
6️⃣ Tertiary Prevention for Diabetes
The nurse implements a tertiary prevention program for type 2 diabetes. Which outcome
indicates effectiveness?
✅ A. Patients who develop complications promptly receive rehabilitation
B. Patients receive annual glucose screening
C. Community leaders organize diabetes fairs
D. Increased awareness of dietary habits
7️⃣ Community Program Design
The nurse designs a health promotion program for African American women at risk for breast
cancer. Which resource is most important?
✅ A. Participation of community leaders in planning the program
B. Hospital data on breast cancer rates
C. Physician support
D. Government grants
8️⃣ Burn Care — Avoiding Auto Contamination
2
,A patient in the burn trauma unit is undergoing dressing changes. What should the nurse do to
prevent auto contamination?
✅ A. Use gown, mask, and gloves during dressing changes
B. Keep wounds uncovered
C. Apply lotion to surrounding skin
D. Use the same gloves for all wounds
9️⃣ Cardiac Catheterization — Groin Pain
A patient complains of groin pain after repositioning post–cardiac cath. What should the nurse
do first?
✅ A. Stimulate the patient to take deep breaths
B. Remove the dressing
C. Increase IV fluids
D. Lower the head of the bed
🔟 Trapeze Bar Assessment
Before obtaining a trapeze bar for a patient with limited mobility, what should the nurse assess
first?
✅ A. Upper body muscle strength
B. Presence of edema
C. Range of motion in legs
D. Patient’s weight
1️⃣1️⃣ Fall Risk Assessment
An older patient reports never falling. What should the nurse do next?
✅ A. Continue to obtain patient data to complete the fall risk survey
B. Discontinue fall assessment
C. Document low risk
D. Skip the evaluation
1️⃣2️⃣ Feeding Aspiration Risk
3
, While feeding a weak patient with aspiration pneumonia, the patient coughs when using a straw.
What should the nurse do?
✅ A. Teach coughing and deep breathing exercises
B. Give sips of thickened liquid
C. Stop feeding permanently
D. Elevate the head of bed only
1️⃣3️⃣ Ileal Conduit Teaching
Which patient statement indicates incorrect understanding of ileal conduit care?
A. “I will empty the pouch when it is one-third full.”
✅ B. “I will empty the pouch when it is half full.”
C. “I will measure and record urine output daily.”
D. “I will wash my hands before and after changing the pouch.”
1️⃣4️⃣ Hyperemesis Gravidarum
A 12-week pregnant patient is admitted with hyperemesis gravidarum. What action is most
important for the nurse?
✅ A. Initiate prescribed IV fluids
B. Offer dry crackers
C. Provide small frequent meals
D. Encourage ambulation
1️⃣5️⃣ Dyspnea Admission
To best prepare for the arrival of a patient with dyspnea, how should the nurse position the bed?
✅ A. Head of bed elevated (semi-Fowler’s or high-Fowler’s)
B. Supine position
C. Flat with knees elevated
D. Trendelenburg position
1️⃣6️⃣ Pre-Bronchoscopy Anxiety
A patient scheduled for a bronchoscopy is anxious and asking questions. What should the nurse
do?
4
(2025) COMPREHENSIVE QUESTIONS
AND VERIFIED ANSWERS ( DETAILED &
ELABORATED) ACTUAL EXAM 2025
TEST
1️⃣ Assessing Pain
A patient presses the call bell requesting medication for a severe headache. To assess the quality
of the patient’s pain, which action should the nurse take?
A. Observe facial expressions
✅ B. Ask the patient to describe the pain
C. Determine pain intensity using a numeric scale
D. Palpate the area of pain
2️⃣ Removing PPE
When exiting a patient’s room, which PPE should the nurse remove first?
✅ A. Gloves
B. Gown
C. Goggles
D. Mask
3️⃣ SBAR Reporting — Confusion after Fall
An older patient has sudden confusion after a fall. The daughter provides a list of medications.
Which information should the nurse report first to the provider using SBAR?
✅ A. Increasing confusion of the patient
B. The list of home medications
C. The daughter’s concerns
D. The patient’s age and gender
1
,4️⃣ Insomnia Despite Exercise
A patient exercises regularly but still has difficulty falling asleep. Which action should the nurse
take?
✅ A. Ask the patient for a description of the exercise schedule being followed
B. Recommend melatonin
C. Refer to a sleep specialist
D. Suggest reducing exercise intensity
5️⃣ Guillain-Barre Discharge Teaching (Select All That Apply)
Two days prior to discharge, which actions should the nurse include when teaching a patient
recovering from Guillain-Barre syndrome and their spouse?
✅ A. Review safe transfer strategies
✅ B. Develop a nutritional plan
✅ C. Help identify community support
6️⃣ Tertiary Prevention for Diabetes
The nurse implements a tertiary prevention program for type 2 diabetes. Which outcome
indicates effectiveness?
✅ A. Patients who develop complications promptly receive rehabilitation
B. Patients receive annual glucose screening
C. Community leaders organize diabetes fairs
D. Increased awareness of dietary habits
7️⃣ Community Program Design
The nurse designs a health promotion program for African American women at risk for breast
cancer. Which resource is most important?
✅ A. Participation of community leaders in planning the program
B. Hospital data on breast cancer rates
C. Physician support
D. Government grants
8️⃣ Burn Care — Avoiding Auto Contamination
2
,A patient in the burn trauma unit is undergoing dressing changes. What should the nurse do to
prevent auto contamination?
✅ A. Use gown, mask, and gloves during dressing changes
B. Keep wounds uncovered
C. Apply lotion to surrounding skin
D. Use the same gloves for all wounds
9️⃣ Cardiac Catheterization — Groin Pain
A patient complains of groin pain after repositioning post–cardiac cath. What should the nurse
do first?
✅ A. Stimulate the patient to take deep breaths
B. Remove the dressing
C. Increase IV fluids
D. Lower the head of the bed
🔟 Trapeze Bar Assessment
Before obtaining a trapeze bar for a patient with limited mobility, what should the nurse assess
first?
✅ A. Upper body muscle strength
B. Presence of edema
C. Range of motion in legs
D. Patient’s weight
1️⃣1️⃣ Fall Risk Assessment
An older patient reports never falling. What should the nurse do next?
✅ A. Continue to obtain patient data to complete the fall risk survey
B. Discontinue fall assessment
C. Document low risk
D. Skip the evaluation
1️⃣2️⃣ Feeding Aspiration Risk
3
, While feeding a weak patient with aspiration pneumonia, the patient coughs when using a straw.
What should the nurse do?
✅ A. Teach coughing and deep breathing exercises
B. Give sips of thickened liquid
C. Stop feeding permanently
D. Elevate the head of bed only
1️⃣3️⃣ Ileal Conduit Teaching
Which patient statement indicates incorrect understanding of ileal conduit care?
A. “I will empty the pouch when it is one-third full.”
✅ B. “I will empty the pouch when it is half full.”
C. “I will measure and record urine output daily.”
D. “I will wash my hands before and after changing the pouch.”
1️⃣4️⃣ Hyperemesis Gravidarum
A 12-week pregnant patient is admitted with hyperemesis gravidarum. What action is most
important for the nurse?
✅ A. Initiate prescribed IV fluids
B. Offer dry crackers
C. Provide small frequent meals
D. Encourage ambulation
1️⃣5️⃣ Dyspnea Admission
To best prepare for the arrival of a patient with dyspnea, how should the nurse position the bed?
✅ A. Head of bed elevated (semi-Fowler’s or high-Fowler’s)
B. Supine position
C. Flat with knees elevated
D. Trendelenburg position
1️⃣6️⃣ Pre-Bronchoscopy Anxiety
A patient scheduled for a bronchoscopy is anxious and asking questions. What should the nurse
do?
4
